Neuropsychological assessment in older people: old principles and new directions

2000 ◽  
Vol 6 (5) ◽  
pp. 362-370 ◽  
Author(s):  
Robin G. Morris ◽  
Claire Worsley ◽  
David Matthews
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Older People ◽  
Neuropsychological Assessment ◽  
Rating Scales ◽  
Clinical Psychologist ◽  
Narrow Sense ◽  
New Directions ◽  
Different Types ◽  
Common Clinical Practice

Neuropsychological assessment, in the broader sense, is common clinical practice with older adults because of the widespread use of mental status examinations and dementia rating scales. In the more narrow sense, a neuropsychological assessment conducted by a clinical psychologist or clinical neuropsychologist is used less frequently and for more specific purposes. This paper outlines these uses and provides a brief overview of the different types of test that might be used, with a clinical example to illustrate the type of information gained. This review is designed not to be comprehensive, but to provide a pointer towards the latest trends in test development.

Preparing students for intentional conversations with older adults

2020 ◽  
pp. 1-19
Author(s):  
Margaret McAllister ◽  
Leanne Dodd ◽  
Colleen Ryan ◽  
Donna Lee Brien
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Nursing Students ◽  
Older People ◽  
Educational Intervention ◽  
Narrative Theory ◽  
Life Stories ◽  
Human Beings ◽  
Study Approach ◽  
Story Theory

Abstract This paper presents the findings from a study introducing nursing students to narrative production. The aim was to use Story Theory to inspire students to intentionally collaborate with older people and produce a mini-biography of those individuals. Narrative theory was utilised in four ways: designing an educational intervention; collecting and developing older peoples’ life stories; framing an understanding of the meaning of the stories collected; analysing the significance of the storytelling approach. The paper explains the study approach and findings and outlines the benefits as well as challenges that occurred during the process. Most particularly, the anthology produced has become a tangible reminder about a clinical practice that allowed students to meet frail aged residents and come to know them as vibrant human beings.

Eczema and the older person

2020 ◽  
Vol 25 (9) ◽  
pp. 451-459
Author(s):  
Linda Nazarko
Keyword(s):  
Older Adults ◽  
Older People ◽  
Physical Health ◽  
Skin Condition ◽  
Common Condition ◽  
Older Person ◽  
Poor Physical Health ◽  
Age Related ◽  
Different Types ◽  
Age Related Changes

Age-related changes lead to an increase in skin problems, and around 70% of older people have a treatable skin condition. However, ageing and poor physical health can make it difficult for older people to care for their skin. Eczema, a chronic inflammatory skin condition, where the skin becomes red, inflamed, itchy and scaly, can develop easily in older adults. This can, in turn, become infected and cause discomfort and health problems. This article explains how ageing affects the skin, how eczema can develop and how it can be treated, also touching upon the different types of eczema. It aims to equip community nurses with knowledge about this common condition and how to recognise and manage it.

scholarly journals Co-Design as Learning: The Differences of Learning When Involving Older People in Digitalization in Four Countries

Societies ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 66
Author(s):  
Björn Fischer ◽  
Britt Östlund ◽  
Nicole K. Dalmer ◽  
Andrea Rosales ◽  
Alexander Peine ◽  
...  
Keyword(s):  
Older Adults ◽  
The Netherlands ◽  
Older People ◽  
User Involvement ◽  
Core Outcome ◽  
Internal Dynamics ◽  
Raising Awareness ◽  
Different Types ◽  
Design Activities

Involving older people through co-design has become increasingly attractive as an approach to develop technologies for them. However, less attention has been paid to the internal dynamics and localized socio-material arrangements that enact this method in practice. In this paper, we show how the outcomes that can be achieved with user involvement often pertain to learning, but their content can differ significantly based on how the approach is implemented in practice. Combining explorative, qualitative findings from co-design conducted in four countries (Canada, the Netherlands, Spain, and Sweden), we illustrate how different types of learning occurred as design workshops engaged the experiences and skills of older people in different ways. Our findings make visible how learning can be a core outcome of co-design activities with older adults, while raising awareness of the role of the power relations and socio-material arrangements that structure these design practices in particular ways. To benefit from the full wealth of insights that can be learned by involving older people, deeper knowledge is needed of the implicit features of design, the materials, meanings, and power aspects involved.

scholarly journals Real-World Effectiveness of Meropenem: Results of an Observational Study in 84 Colombian Patients

2020 ◽  
Author(s):  
Santiago Garnica-Velandia ◽  
Aristizábal-Ruiz Luz Adriana ◽  
Carlos Arturo Alvarez-Moreno
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Real World ◽  
Adverse Reactions ◽  
Clinical History ◽  
Routine Clinical Practice ◽  
University Hospital ◽  
Daily Monitoring ◽  
Different Types ◽  
Sirs Criteria

Background. To determine the effectiveness and safety of meropenem in routine clinical practice, in terms of clinical and microbiological response. Methods. A real-world, observational, descriptive, longitudinal study with daily monitoring of clinical history records was conducted on all patients who were medically prescribed meropenem during a period between October 2015 and March 2016 at a university hospital in Bucaramanga (Colombia). Results. The study evaluated 84 patients with an average age of 63.2 years, mostly older adults with multiple comorbidities, of whom 54.8% were men. A positive clinical or microbiological response was obtained in 98.8% of the patients. At the end of the treatments, significant improvements in dysthermia (0% vs 29% at the beginning, p = 0.000), tachycardia (13% vs 47%, p = 0.049) and leukocytosis (39% vs 15% at the beginning, p = 0.008) were evidenced. The improvement in the indicator that combines all the SIRS criteria was also significant (p = 0.000). The treatment was well tolerated, although we identified some non-serious and expected adverse reactions. Conclusions. Generic meropenem proved to be effective and well tolerated for different types of infection in routine clinical practice. The results are consistent with the findings of the clinical studies with the innovator drug.

Interpersonal Psychotherapy for Older Adults

2018 ◽  
Author(s):  
Gregory A. Hinrichsen
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Older People ◽  
Social Isolation ◽  
Interpersonal Psychotherapy ◽  
Life Change ◽  
Individual Psychotherapy ◽  
Role Transitions ◽  
Life Problems ◽  
Complicated Bereavement

In clinical practice with older adults, depression is a common presenting problem and is usually interwoven with one or more life problems. These problems are often the focus of psychotherapy. Interpersonal Psychotherapy (IPT) is a highly researched and effective treatment for depression in adults and older adults. IPT is time-limited, and as an individual psychotherapy it is usually conducted over 16 sessions. IPT focuses on one or two of four interpersonally relevant problems that may be a cause or consequence of depression. These include: role transitions (life change), interpersonal role disputes (conflict with another person), grief (complicated bereavement), and interpersonal deficits (social isolation and loneliness). The four IPT problem areas reflect issues that are frequently seen in psychotherapy with depressed older people.

scholarly journals How long should older people take antidepressants to prevent relapse?

2002 ◽  
Vol 24 (suppl 1) ◽  
pp. 70-73 ◽  
Author(s):  
Jon Spear
Keyword(s):  
Older Adults ◽  
Clinical Trials ◽  
Clinical Practice ◽  
High Risk ◽  
Depressive Disorder ◽  
Older People ◽  
Future Research ◽  
Open Label ◽  
Psychotherapeutic Interventions ◽  
Risk Of Relapse

Patients with depressive disorder have a high risk of relapse after recovery from a depressive episode. Can the relapse of depressive disorder be prevented or delayed for older adults? This paper reviews the evidence from randomised clinical trials and open label trials of the effectiveness of maintenance antidepressant therapy for older adults with depressive disorder. It also examines the evidence for the effectiveness of psychosocial and psychotherapeutic interventions. The paper concludes with recommendations for clinical practice and future research.

Pacing in older people

2011 ◽  
Vol 21 (4) ◽  
pp. 312-330
Author(s):  
Honey E Thomas ◽  
Michael S Cunnington ◽  
Janet M McComb
Keyword(s):  
Clinical Practice ◽  
Older People ◽  
Effective Treatment ◽  
Older Patients ◽  
System Function ◽  
Cardiac Pacemakers ◽  
Pacemaker Therapy ◽  
Barriers To Access ◽  
Different Types

SummaryThe vast majority of cardiac pacemakers are implanted in older people. Pacing is a safe and effective treatment for patients with symptomatic bradyarrhythmias. This review provides a clinician's guide to the essential aspects of modern pacemaker therapy in older patients, including aetiology and epidemiology of bradycardia. We discuss some barriers to access to pacing. We review indications for pacemakers, and describe pacing system function, including the different types of pacemakers used. We also review clinical outcomes following pacing, follow-up requirements and problems encountered in clinical practice. Finally, we discuss ethical and end of life considerations with these devices.

scholarly journals Real-World Use of Generic Meropenem: Results of an Observational Study

Antibiotics ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 62
Author(s):  
Santiago Garnica-Velandia ◽  
Luz Adriana Aristizábal-Ruiz ◽  
Carlos Arturo Alvarez-Moreno
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Real World ◽  
Adverse Reactions ◽  
Clinical History ◽  
Routine Clinical Practice ◽  
University Hospital ◽  
Daily Monitoring ◽  
Different Types ◽  
Sirs Criteria

Background: To determine the therapeutic effect and tolerability of meropenem in routine clinical practice, in terms of clinical and microbiological response. Methods: A real-world, observational, descriptive, longitudinal study with daily monitoring of clinical history records was conducted on all patients who were medically prescribed meropenem during a period between October 2015 and March 2016 at a university hospital in Bucaramanga (Colombia). Results: The study evaluated 84 patients with an average age of 63.2 years, mostly older adults with multiple comorbidities, of whom 54.8% were men. A positive clinical or microbiological response was obtained in 98.8% of the patients. At the end of the treatments, significant improvements in dysthermia (0% vs. 29% at the beginning, p = 0.000), tachycardia (13% vs. 47%, p = 0.049), and leukocytosis (39% vs. 15% at the beginning, p = 0.008) were evidenced. The improvement in the indicator that combines all the Systemic Inflammatory Response Syndrome (SIRS) criteria was also significant (p = 0.000). The treatment was well tolerated, although we identified some non-serious and expected adverse reactions. Conclusions: Generic meropenem proved to be effective and well tolerated for different types of infection in routine clinical practice. The results are consistent with the findings of the clinical studies with the innovator drug.

“Bridging Gaps – Improving Outcomes”: Problem domains in schizophrenia research, treatment and policy

2016 ◽  
Vol 13 (03) ◽  
pp. 118-120
Author(s):  
W. Wölwer ◽  
W. Gaebel ◽  
V. Toeller
Keyword(s):  
Clinical Practice ◽  
Mental Healthcare ◽  
Knowledge Gaps ◽  
Everyday Clinical Practice ◽  
Treatment Gaps ◽  
Different Types

Summary Background: The provision of mental healthcare for patients with schizophrenia is still characterized both by knowledge gaps and by treatment gaps in everyday clinical practice. Aim: This article discusses the different types of treatment gaps in schizophrenia and describes actions taken to overcome these gaps especially in Europe.

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